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Cited by 22Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesDigital Mental Health InterventionsPsychological Treatments and Assessments

Do all treatments work for flight phobia? Computer-assisted exposure versus a brief multicomponent nonexposure treatment

Bornas, Xavier, Tortella-Feliu, Miquel, Llabrés, Jordi·2006·Psychotherapy Research
DOI 10.1080/10503300500091058
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Abstract

Computer-assisted treatments have proven to be effective in the treatment of several anxiety disorders and depression, but the role of exposure remains unclear. This study compares the efficacy of a computer-assisted exposure treatment (CAE) with a brief multicomponent nonexposure treatment (MNE) for flight phobia. Outcome measure assessments were conducted at posttreatment and at 6-month follow-up. No differences were found between CAE and MNE in reducing fear of flying. In both conditions patients improved significantly and clinically meaningfully, and results were maintained at 6- month follow-up. These findings challenge the idea that exposure is essential in reducing phobic anxiety and support the idea that specific phobias may be well suited for brief cognitive–behavioral treatments. Zusammenfassung Sind alle Behandlungen gleichermaßen effizient bei Flugangst? Die Gegenüberstellung einer computerunterstützten Exposition und einer kurzen Multikomponentenbehandlung ohne Exposition Computerunterstützte Behandlungen haben sich als erfolgreich erwiesen bei einigen Angststörungen und bei Depression, aber die Rolle von Exposition bleibt unklar. Diese Studie vergleicht den Effekt von einer computerunterstützten Expositionsbehandlung mit einer kurzen Behandlung ohne Exposition mit mehreren Komponenten bei Flugphobie. Kontrollbeurteilungen des Erfolgs wurden nach der Behandlung und bei einer Katamnese nach sechs Monaten durchgeführt. Es wurden keine Unterschiede zwischen den beiden Behandlungen hinsichtlich der Flugangst gefunden. Unter beiden Bedingungen verbesserten sich die Patienten signifikant und in klinisch bedeutungsvoller Weise, und die Ergebnisse waren auch nach sechs Monate noch stabil. Diese Ergebnisse stellen die Notwendigkeit von Exposition bei phobischen Ängsten in Frage und unterstützten die These, dass zur Reduktion bestimmter Phobien auch kognitiv-verhaltensmäßige Behandlungen geeignet sind. Résumé Les traitements de la phobie de l'avion marchent-ils tous ? Exposition assistée par ordinateur versus traitement de non-exposition bref et en composantes multiples. Des traitements assistés par ordinateur ont prouvé leur efficacité dans le traitement de plusieurs troubles d'anxiété et de la dépression, mais le rôle de l'exposition reste peu clair. Cette étude compare l'efficacité d'un traitement d'exposition assisté par ordinateur (CAE) avec un traitement de non-exposition bref et en composantes multiples (MNE) pour la phobie de l'avion. L’évaluation des résultats a eu lieu à la fin du traitement et 6 mois après. Aucune différence n'a été trouvée entre CAE et MNE pour réduire la phobie de l'avion. Les deux conditions voyaient les patients s'améliorer de façon significative et cliniquement constructive, et ces résultats persistaient 6 mois après. Ces résultats défient l'idée que l'exposition est essentielle dans la réduction de l'anxiété phobique, et ils soutiennent l'idée que des phobies spécifiques pourraient bien se prêter à des traitements cognitivo-comportementaux brefs. Resumen ¿Se ocupan todos los tratamientos de la fobia a volar? exposición asistida por computadora versus un tratamiento breve sin exposición de multicomponentes Los tratamientos asistidos por computadora han resultado efectivos en el tratamiento de varios desórdenes de ansiedad y depresión, pero el rol de la exposición permanece incierto. Este estudio compara la eficacia de un tratamiento de exposición asistido por computadora (CAE) con un breve tratamiento de no exposición con multicomponentes (MNE) para la fobia a volar. Se llevaron a cabo evaluaciones de resultados al final del tratamiento y a los seis meses de seguimiento. No se encontraron diferencias entre CAE y MNE en la reducción del miedo a volar. En ambos casos los pacientes mejoraron significativa y clínicamente, y los resultados se mantuvieron a los seis meses. Estos hallazgos hacen dudar de que la exposición sea esencial para reducir la ansiedad fóbica y apoyan la idea de que los tratamientos breves cognitivo-comportamentales pueden ser aptos para las fobias específicas. Resumo Será que todos os tratamentos resultam para a fobia de voar? Exposição assistida por computador vs. um tratamento breve multimodal sem exposição Os tratamentos assistidos por computador mostraram ser eficientes no tratamento de várias perturbações ansiosas e depressivas, porém permanece pouco claro o papel da exposição. Este estudo compara a eficácia de um tratamento assistido por computador (TAC) com um tratamento multimodal sem exposição (TME) breve para a fobia de voar. Foram realizadas avaliações com medidas de monitorização de resultados no período pós-tratamento e aos 6 meses do período de seguimento. Não foram encontradas diferenças entre o TAC e o TME na redução do medo de voar. Em ambas as condições os pacientes melhoraram significativamente e clinicamente e os resultados mantiveram-se nos 6 meses de seguimento. Estes resultados desafiam a ideia de que a exposição é essencial na red

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  • There is no unambiguous evidence that CBT should outperform exposure therapy for phobias per se, with studies finding either no difference or a negligible advantage for either CBT or exposure therapy in phobias.

    “it should be noted that the intervention of the current trial included a number of CBT components and that there is no unambiguous evidence that CBT should outperform exposure therapy for phobias per se, with studies finding either no difference or a negligible advantage for either CBT of exposure therapy in phobias (eg, [14,19,59,60]).”

    From Short-term effectiveness of web-based guided self-help for phobic outpatients: randomized controlled trial. (2014) · cites this paper as [60]

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Authors
Bornas, X., Tortella-Feliu, M., & Llabrés, J.
Affiliations
Universitat de les Illes Balears (ES)
Corresponding author
Bornas, Xavier
ORCID
Venue
Psychotherapy Research
Publisher
Informa UK Limited
Published
2006-01
Volume
16
Issue
1
Pages
41-50
ISSN
  • 1050-3307 (ISSN-L)
  • 1468-4381
DOI
10.1080/10503300500091058
OpenAlex
W2135396040
Cited by
22
References
33
Citations by year
2019: 1 · 2018: 3 · 2015: 1 · 2014: 2 · 2013: 1
FWCI
2.59
Type
journal article
Language
en
Open access
closed
Locations
Psychotherapy Research (publishedVersion)
Funders
Ministerio de Ciencia y Tecnología
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
  • Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
Keywords
phobic anxiety, exposure therapy, cognitive behavioral therapy, treatment efficacy, fear of flying, anxiety disorders, depression treatment, brief psychotherapy, follow-up outcomes, treatment comparison, treatment selection

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